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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY LOPEZ, ATC

Active Sole Proprietor

ANTHONY LOPEZ, ATC is a 405300000X healthcare provider located in CRESTWOOD, Illinois. NPI 1891221958 is currently active in the NPPES registry. Verify at CMS.

405300000X · CRESTWOOD, IL

Registration Details

NPI Number
1891221958
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2017 (9.253891086353 yrs)
Last Updated
May 11, 2017
License
2000026450 (IL)
Sole Proprietor
Yes

Practice Information

Address
14011 KENTON AVE
CRESTWOOD, IL, 604452252
Browse IL providers · Browse ZIP 60445
Phone
2197944653
Primary Specialty
405300000X
405300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.